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This form is to be used by Settlement Class Members who wish to exclude themselves from the Pine-Sol Settlement regarding the civil actions involving Swetz v. Clorox Co., Charles v. Clorox Co., and Kossel v. Clorox Co. By submitting this form, individuals request to be excluded from the Settlement and understand that they will not receive any payment from it.
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How to fill out exclusion form

01
Obtain the exclusion form from the relevant authority or website.
02
Fill in your personal details such as name, address, and contact information.
03
Specify the reason for exclusion in the designated section.
04
Attach any required supporting documents related to your request.
05
Review the completed form for accuracy and completeness.
06
Sign and date the form.
07
Submit the form to the appropriate department via mail, email, or in-person.

Who needs exclusion form?

01
Individuals who wish to be excluded from certain programs or services.
02
Organizations seeking to exclude specific entities from participation.
03
Individuals applying for exemption due to eligibility criteria.
04
Anyone affected by regulations needing formal exclusion.
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An exclusion form is a document used to apply for the exclusion of certain income or tax obligations from taxation, often related to foreign income or specific eligible expenses.
Taxpayers with foreign income or those eligible for specific exclusions, like the Foreign Earned Income Exclusion, are required to file this form.
To fill out the exclusion form, taxpayers need to provide personal information, details of their foreign income, and evidence supporting their eligibility for the exclusion.
The purpose of the exclusion form is to allow qualified taxpayers to reduce their taxable income by excluding certain foreign earnings or expenses, thereby minimizing their tax liability.
Taxpayers must report their name, Social Security number, foreign income details, residency status, and any supporting documents that justify the exclusion.
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